Patient Survey

Thank you for choosing Peninsula Imaging. Your impression of our facility is important to us. Please use this form to complete our survey online. Information passed via this form is securely submitted to our office. We appreciate your time in communicating your experience and value your opinion.

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Scheduling my appointment was easy and convenientYesNo

The office staff was courteous and informativeYesNo

The waiting area was clean and comfortableYesNo

The procedure was performed in a timely mannerYesNo

My overall experience was positive, and I would recommend Peninsula Imaging to friends and familyYesNo